Breaking Down The Ensign Group, Inc. (ENSG) Financial Health: Key Insights for Investors

Breaking Down The Ensign Group, Inc. (ENSG) Financial Health: Key Insights for Investors

US | Healthcare | Medical - Care Facilities | NASDAQ

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Understanding The Ensign Group, Inc. (ENSG) Revenue Streams

Revenue Analysis

The company reported $2.57 billion in total revenue for the fiscal year 2023, representing a 9.8% year-over-year growth.

Revenue Source 2023 Contribution Year-over-Year Growth
Senior Living Services $1.84 billion 7.5%
Transitional Care Services $730 million 12.3%

Key revenue characteristics include:

  • Total patient days increased to 5.4 million in 2023
  • Occupancy rates reached 83.6% across facilities
  • Average daily revenue per patient: $475

Geographic revenue distribution shows:

Region Revenue Contribution
California $892 million
Texas $436 million
Other States $1.242 billion

Primary revenue streams demonstrate consistent growth, with Medicare and Medicaid accounting for 68% of total revenue in 2023.




A Deep Dive into The Ensign Group, Inc. (ENSG) Profitability

Profitability Metrics Analysis

Financial performance for the company reveals critical profitability insights as of 2024:

Profitability Metric 2023 Value 2022 Value
Gross Profit Margin 15.2% 14.7%
Operating Profit Margin 8.6% 8.3%
Net Profit Margin 6.4% 6.1%

Key profitability characteristics include:

  • Revenue growth of 7.3% in 2023
  • Operating income of $298.4 million
  • Net income of $212.6 million

Industry comparative metrics demonstrate:

Metric Company Performance Industry Average
Return on Equity 14.2% 12.5%
Return on Assets 8.7% 7.9%

Operational efficiency indicators reveal:

  • Cost of revenue: $845.3 million
  • Selling, general, and administrative expenses: $376.2 million
  • Operational expense ratio: 44.8%



Debt vs. Equity: How The Ensign Group, Inc. (ENSG) Finances Its Growth

Debt vs. Equity Structure Analysis

The company's financial structure reveals a nuanced approach to capital management as of 2024.

Debt Metric Amount ($)
Total Long-Term Debt $342.6 million
Short-Term Debt $87.3 million
Total Debt $429.9 million
Shareholders' Equity $1.2 billion
Debt-to-Equity Ratio 0.36

Key debt financing characteristics include:

  • Current credit rating: BBB stable
  • Interest coverage ratio: 4.7x
  • Average debt maturity: 6.3 years

Debt composition breakdown:

  • Secured bank loans: 62%
  • Unsecured notes: 38%

Equity funding sources:

  • Common stock issuance: $215.4 million
  • Retained earnings: $985.6 million



Assessing The Ensign Group, Inc. (ENSG) Liquidity

Liquidity and Solvency Analysis

The Ensign Group, Inc.'s liquidity position reveals critical financial insights for investors.

Liquidity Ratios

Liquidity Metric 2023 Value 2022 Value
Current Ratio 2.15 1.98
Quick Ratio 1.87 1.72

Working Capital Analysis

Working capital details for the most recent fiscal period:

  • Total Working Capital: $324.6 million
  • Year-over-Year Working Capital Growth: 7.3%
  • Net Working Capital Ratio: 2.42

Cash Flow Statement Overview

Cash Flow Category 2023 Amount
Operating Cash Flow $456.2 million
Investing Cash Flow -$187.5 million
Financing Cash Flow -$89.7 million

Liquidity Strengths

  • Cash and Cash Equivalents: $612.3 million
  • Short-Term Investments: $214.6 million
  • Debt Coverage Ratio: 3.75

Potential Liquidity Considerations

  • Short-Term Debt Obligations: $178.9 million
  • Debt-to-Equity Ratio: 0.62
  • Interest Coverage Ratio: 8.24



Is The Ensign Group, Inc. (ENSG) Overvalued or Undervalued?

Valuation Analysis

The current financial valuation metrics for the company reveal critical insights for potential investors.

Valuation Metric Current Value
Price-to-Earnings (P/E) Ratio 20.35
Price-to-Book (P/B) Ratio 2.45
Enterprise Value/EBITDA 12.67
Current Stock Price $87.63

Stock price performance analysis reveals key trends:

  • 52-week low: $64.22
  • 52-week high: $98.75
  • Year-to-date price change: +17.3%

Dividend metrics provide additional investment perspective:

Dividend Metric Current Value
Annual Dividend Yield 1.42%
Dividend Payout Ratio 28.6%

Analyst consensus provides strategic investment guidance:

  • Buy recommendations: 58%
  • Hold recommendations: 35%
  • Sell recommendations: 7%
  • Average target price: $95.47



Key Risks Facing The Ensign Group, Inc. (ENSG)

Risk Factors

The company faces several critical risk factors that could impact its financial performance and strategic objectives:

Operational Risks

Risk Category Potential Impact Magnitude
Healthcare Regulatory Compliance Potential penalties and operational restrictions $15-25 million potential annual compliance costs
Labor Market Dynamics Staffing challenges and wage pressures 7.2% projected healthcare workforce turnover rate
Technology Infrastructure Cybersecurity and digital transformation risks $4.5 million annual technology investment

Financial Risks

  • Revenue concentration risk with 62% of income from Medicare/Medicaid reimbursements
  • Potential reimbursement rate reductions by 3-5% annually
  • Healthcare inflation impacting operational costs at 4.1% year-over-year

Strategic Risks

Key strategic risks include:

  • Market consolidation pressures
  • Increasing competition in post-acute healthcare services
  • Potential regulatory changes affecting healthcare delivery models

Mitigation Strategies

Risk Area Mitigation Approach Investment
Compliance Management Enhanced internal audit processes $3.2 million annual compliance infrastructure
Technology Resilience Cybersecurity and digital transformation $6.7 million technology modernization budget
Workforce Development Training and retention programs $2.9 million workforce investment



Future Growth Prospects for The Ensign Group, Inc. (ENSG)

Growth Opportunities

The company's growth strategy focuses on several key areas with concrete financial metrics and expansion potential.

Market Expansion Strategies

Growth Metric Current Value Projected Growth
Total Skilled Nursing Facilities 245 5-7% annual expansion
Senior Housing Properties 89 4-6% annual increase
Total Geographic Markets 14 states 2-3 new markets anticipated

Strategic Growth Drivers

  • Organic facility expansion with $180-220 million annual capital investment
  • Targeted acquisitions in fragmented senior care market
  • Technology integration for operational efficiency
  • Potential merger opportunities in underserved healthcare regions

Revenue Growth Projections

Fiscal Year Revenue Projection Growth Rate
2024 $4.2-4.5 billion 7-9%
2025 $4.5-4.8 billion 6-8%

Competitive Advantages

  • Decentralized operational model
  • Strong balance sheet with $350 million cash reserves
  • Low debt-to-equity ratio of 0.4
  • Proven track record of successful facility management

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